Deloran L Wilson M.D.

NPI 1114151032 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1114151032
Gender Female
Enumeration Date 05/06/2009
Last Updated 05/06/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
111 S 11TH ST
SUITE 2170
PHILADELPHIA PA, 19107-4824, US
Phone (215) 955-6610
Fax
Business Location
7121 N ALTER ST
GWYNN OAK MD, 21207-6419, US
Phone (410) 409-4191
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Deloran L Wilson M.D. NPI is 1114151032, taxonomy code is 390200000X Deloran L Wilson M.D. physically located at 111 S 11th St, Philadelphia PA, 19107-4824. NPI Number Deloran L Wilson M.D. has the Individual type.

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1114151032 NPI number is provided on an as is basis without warranty of any kind. 1114151032 is maintained by the National Plan & Provider Enumeration System. The contents of Deloran L Wilson M.D. are for informational purposes only.